Organization
INTERFACE REHAB, INC.
Active
Parent organization
INTERFACE REHAB, INC.
Other names
interface rehab, inc. at Enso Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERFACE REHAB, INC.
Authorized official
MR. ASHWIN SHAH (MIS MANAGER)
(714) 646-8308
Entity
Organization
Contact information
Practice address
1801 BOXHEART DR, HEALDSBURG, CA 95448-3269
(707) 756-5039
Mailing address
774 S PLACENTIA AVE STE 200, PLACENTIA, CA 92870-6838
(714) 646-8300
(714) 646-8183
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/07/2024
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